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Experiences and needs of patients with rectal cancer confronted with bowel problems after stoma reversal : a systematic review and thematic-synthesis

Eva Pape (UGent) , Isabel Vlerick (UGent) , Yves Van Nieuwenhove (UGent) , Piet Pattyn (UGent) , Dirk Van de Putte (UGent) , Gabriëlle van Ramshorst (UGent) , Karen Geboes (UGent) and Ann Van Hecke (UGent)
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Abstract
Purpose: After the reversal of the temporary stoma, rectal cancer survivors are often confronted with bowel complaints largely impacting on their quality of life. This systematic review aims to identify and synthesise the experiences and needs of patients with rectal cancer confronted with bowel problems after stoma reversal. Methods: A systematic search was performed through Pubmed, CINAHL and Web of Science. Only studies with a qualitative design were included in this review. Quality assessment was done by the critical appraisal skill programme (CASP) Qualitative Studies Checklist. A thematic-synthesis was performed. Results: Of 2713 identified papers, 10 were included in this systematic review. Two general themes were identified: 'experiences and needs about bowel function before surgery' and 'experiences and needs afterwards'. Before restoration of continuity patients had to cope with the temporary stoma, and they felt uncertain about what to expect. Patients indicated that the timing of providing information was crucial but varied. Bowel problems after surgery had a physical and emotional impact on patients' family life. They were also confronted with shame and stigma. Patients were happy to be alive and cancer free but were hopeful that the bowel problems would resolve. They used several strategies to manage and cope with these symptoms. Peers and healthcare professionals proved valuable resources of support. Conclusion: Rectal cancer survivors experience ongoing bowel problems after treatment. Patients describe experiences and needs before rectal cancer surgery and afterwards when confronting with bowel problems. Follow-up care should be organised proactively and focus on management strategies and emotional support.
Keywords
Oncology(nursing), General Medicine, Rectal cancer, Bowel dysfunction, Low anterior resection syndrome, Quality of life, Stoma reversal, Thematic-synthesis, Review, ANTERIOR RESECTION SYNDROME, FUNCTIONAL OUTCOMES, LIVED EXPERIENCES, SURVIVORS, VALIDATION

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MLA
Pape, Eva, et al. “Experiences and Needs of Patients with Rectal Cancer Confronted with Bowel Problems after Stoma Reversal : A Systematic Review and Thematic-Synthesis.” EUROPEAN JOURNAL OF ONCOLOGY NURSING, vol. 54, 2021, doi:10.1016/j.ejon.2021.102018.
APA
Pape, E., Vlerick, I., Van Nieuwenhove, Y., Pattyn, P., Van de Putte, D., van Ramshorst, G., … Van Hecke, A. (2021). Experiences and needs of patients with rectal cancer confronted with bowel problems after stoma reversal : a systematic review and thematic-synthesis. EUROPEAN JOURNAL OF ONCOLOGY NURSING, 54. https://doi.org/10.1016/j.ejon.2021.102018
Chicago author-date
Pape, Eva, Isabel Vlerick, Yves Van Nieuwenhove, Piet Pattyn, Dirk Van de Putte, Gabriëlle van Ramshorst, Karen Geboes, and Ann Van Hecke. 2021. “Experiences and Needs of Patients with Rectal Cancer Confronted with Bowel Problems after Stoma Reversal : A Systematic Review and Thematic-Synthesis.” EUROPEAN JOURNAL OF ONCOLOGY NURSING 54. https://doi.org/10.1016/j.ejon.2021.102018.
Chicago author-date (all authors)
Pape, Eva, Isabel Vlerick, Yves Van Nieuwenhove, Piet Pattyn, Dirk Van de Putte, Gabriëlle van Ramshorst, Karen Geboes, and Ann Van Hecke. 2021. “Experiences and Needs of Patients with Rectal Cancer Confronted with Bowel Problems after Stoma Reversal : A Systematic Review and Thematic-Synthesis.” EUROPEAN JOURNAL OF ONCOLOGY NURSING 54. doi:10.1016/j.ejon.2021.102018.
Vancouver
1.
Pape E, Vlerick I, Van Nieuwenhove Y, Pattyn P, Van de Putte D, van Ramshorst G, et al. Experiences and needs of patients with rectal cancer confronted with bowel problems after stoma reversal : a systematic review and thematic-synthesis. EUROPEAN JOURNAL OF ONCOLOGY NURSING. 2021;54.
IEEE
[1]
E. Pape et al., “Experiences and needs of patients with rectal cancer confronted with bowel problems after stoma reversal : a systematic review and thematic-synthesis,” EUROPEAN JOURNAL OF ONCOLOGY NURSING, vol. 54, 2021.
@article{8721630,
  abstract     = {{Purpose: After the reversal of the temporary stoma, rectal cancer survivors are often confronted with bowel complaints largely impacting on their quality of life. This systematic review aims to identify and synthesise the experiences and needs of patients with rectal cancer confronted with bowel problems after stoma reversal.
Methods: A systematic search was performed through Pubmed, CINAHL and Web of Science. Only studies with a qualitative design were included in this review. Quality assessment was done by the critical appraisal skill programme (CASP) Qualitative Studies Checklist. A thematic-synthesis was performed.
Results: Of 2713 identified papers, 10 were included in this systematic review. Two general themes were identified: 'experiences and needs about bowel function before surgery' and 'experiences and needs afterwards'. Before restoration of continuity patients had to cope with the temporary stoma, and they felt uncertain about what to expect. Patients indicated that the timing of providing information was crucial but varied. Bowel problems after surgery had a physical and emotional impact on patients' family life. They were also confronted with shame and stigma. Patients were happy to be alive and cancer free but were hopeful that the bowel problems would resolve. They used several strategies to manage and cope with these symptoms. Peers and healthcare professionals proved valuable resources of support.
Conclusion: Rectal cancer survivors experience ongoing bowel problems after treatment. Patients describe experiences and needs before rectal cancer surgery and afterwards when confronting with bowel problems. Follow-up care should be organised proactively and focus on management strategies and emotional support.}},
  articleno    = {{102018}},
  author       = {{Pape, Eva and Vlerick, Isabel and Van Nieuwenhove, Yves and Pattyn, Piet and Van de Putte, Dirk and van Ramshorst, Gabriëlle and Geboes, Karen and Van Hecke, Ann}},
  issn         = {{1462-3889}},
  journal      = {{EUROPEAN JOURNAL OF ONCOLOGY NURSING}},
  keywords     = {{Oncology(nursing),General Medicine,Rectal cancer,Bowel dysfunction,Low anterior resection syndrome,Quality of life,Stoma reversal,Thematic-synthesis,Review,ANTERIOR RESECTION SYNDROME,FUNCTIONAL OUTCOMES,LIVED EXPERIENCES,SURVIVORS,VALIDATION}},
  language     = {{eng}},
  pages        = {{10}},
  title        = {{Experiences and needs of patients with rectal cancer confronted with bowel problems after stoma reversal : a systematic review and thematic-synthesis}},
  url          = {{http://dx.doi.org/10.1016/j.ejon.2021.102018}},
  volume       = {{54}},
  year         = {{2021}},
}

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